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Mini Teacher Final Evaluation Form

To be completed by Cooperating Teacher

Student:

Date:

School/Grade Teacher Observed At:


Cooperating Teacher:
Please complete this evaluation form by highlighting corresponding numbers using this key:
Advanced= 3, Proficient = 2, Developing = 1, Unacceptable = 0, Not Applicable = NA.
You may add narrative within each sub-category. Once completed, please return via email to North Park University School of
Education at studentplacements@northpark.edu.
(An electronic version of this form will be emailed to all Mini-Teaching cooperating teachers toward the end of the clinical experience.)

Domain 1 Planning and Preparation


CF=Competent, CLO=Outcome 1; IPTS=1, 2, 3CF: Competent, Respectful, Service CLO: Candidate Learning Outcomes
IPTS: (Illinois Professional Learning Standard Number) 1. Teaching Diverse Students 2. Content Area Pedagogical
Knowledge 3. Planning for Differentiated Instruction 4. Learing Environment 5. Instructional Delivery 6. Reading, Writing,
and Oral Communication 7. Assessment 8. Collaborative Relationships 9. Professionalism, Leadership, and Advocacy

1a. Demonstrating Knowledge of Content and Pedagogy

Performance Level

1b. Demonstrating Knowledge of Students

Performance Level

1c. Setting Instructional Outcomes

1d. Demonstrating Knowledge of Resources

Performance Level

Performance Level

1e. Designing Coherent Instruction

1f. Designing Student


Assessment

Performance Level

Performance Level

Domain 2 Classroom Environment


CF=Respectful, CF=Outcome 4, IPTS 4CF=Competent, Respectful, Reflective, Service CLO=Candidate Learning Outcomes
IPTS: (Illinois Professional Teaching Standards) 1. Teaching Diverse Students, 2. Content Area and Pedagogical
knowledge, 3. Planning for Differentiated Instruction, 4. Learning Environment, 5. Instructional Delivery, 6. Reading,
writing and oral knowledge, 7. Assessment, 8. Collaborative relationships, 9. Professionalism, leadership, and
advocacy

2a. Creating an Environment of Respect and Rapport

Performance Level

2b. Establishing a Culture for Learning

Performance Level

2c. Managing Classroom Procedures

Performance Level

2d. Managing Student Behavior

Performance Level

2e. Organizing Physical Space

Performance Level

Domain 3 Instruction CF=Competent, CLO=Outcome 2, 3, IPTS=1, 5, 6, 7


CF=Competent, Respectful, Reflective, Service CLO=Candidate Learning Outcomes
IPTS: (Illinois Professional Teaching Standards) 1. Teaching Diverse Students 2. Content Area Pedagogical Knowledge
3. Planning for Differentiated Instruction 4. Learning Environment 5. Instructional Delivery 6. Reading, Writing, and Oral
Communication 7. Assessment 8. Collaborative Relationships 9. Professionalism, Leadership, and Advocacy

3a. Communicating with Students

3b. Using Questioning & Discussion Techniques

3c. Engaging Students in Learning

3d.Using Assessment in Instruction

Performance Level

Performance Level

Performance Level

Performance Level

Domain 4 Professional Practice (Please use NA rating if component was not demonstrated.)
CF=Respectful, Reflective, Service, CLO=Outcome 5, IPTS=8,9
CF=Competent, Respectful, Reflective, Service CLO=Candidate Learning Outcomes
IPTS: (Illinois Professional Teaching Standards) 1. Teaching Diverse Students 2. Content Area Pedagogical Knowledge
3. Planning for Differentiated Instruction 4. Learning Environment 5. Instructional Delivery 6. Reading, Writing, and Oral
Communication 7. Assessment 8. Collaborative Relationships 9. Professionalism, Leadership, and Advocacy

4a. Reflecting on Teaching

Performance Level

4b. Maintaining Accurate Records

Performance Level

4c. Communicating with Families

Performance Level

4d. Participating in a Professional Community

Performance Level

4e. Growing and Developing Professionally

Performance Level

4f. Showing Professionalism

General Comments:

Performance Level

________________________________________________________________
Signature of Cooperating Teacher
Date

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